Panicking/ worried - Painful Haemmorahagic cyst and CA 125 - Should I have surgery or can I travel home?

I am on holiday 12 hours long haul flight from home. and am wondering if I can travel home or if I need to have surgery here. What is truly necessary in a situation like this. I am 'bricking it' (Brit for v. worried) and don't know what to ask or where I stand.

I have had pain for three weeks which is now reducing to lower level. An ultrasound scan shows there is a haemorrhagic cyst of nearly 5 cm. 2/3rds grey on the image and 1/3 black. A CT scan shows the cyst as smooth. I have had hormone and tumour marker blood tests done, All levels are normal except for CA 125 which is 58. The cyst appears to be stable and has blood flow around it so doesn't appear to be twisted.

I am being advised to have a surgical procedure next week in Singapore, a laparoscopy which may turn into a bigger operation should anything of concern appear. The medical facilities here are good. But I am not a local and don't really know who to go to.

Please does anyone know anyone who could advise me on whether or not I would be safe to fly home and have this checked out in the UK? how soon would I need to make sure it is seen to ?

If it is a hemorrhagic cyst, it usually resolves with time and as long as it does not rupture or torse (that is twist) you can wait. I usually wait at least 1 month and repeat an ultrasound to see if the cyst resolves completely or gets smaller on its own before taking you to surgery. Emergency surgery is only necessary if the cyst ruptures or if there is ovarian torsion (the ovary twists on itself). I suggest that you take it easy and not exercise or jump around or have intercourse ie complete pelvic rest. If the pain is improving then I think you can wait. If the pain worsens, then you may need surgery sooner. If you have severe pain then you should go to an emergency room as soon as possible. If after 1 month the cyst persists and is not getting smaller then you can plan for a laparoscopic surgery because the cyst may not be a hemorrhagic cyst but some other kind of cyst like an endometrioma and that kind does not spontaneously resolve on its own.

The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.